Release date: 2016-03-25
After the pacemaker is implanted, the forearm implanted on the pacemaker side within half a year should not be significantly active (no problem with general activities), but it can be moved in a small range to prevent the formation of blood clots, especially in elderly patients.
Don't always touch the part of the pacemaker. Patients with neuroticism often cares for the pacemaker buried in the skin of the chest, making the pacemaker become the turntable to rotate and dislocate the electrode lead, causing pacing dysfunction ( Known as the gyro syndrome).
After the pacemaker is implanted, the local wound is usually pressed with a small sandbag for 4 to 6 hours. After 24 hours, the doctor will change the medicine and observe the wound. Because the trauma of pacemaker implantation is relatively small, the general postoperative pain is not obvious, and there are fewer patients who need to use analgesic drugs, which can also be used temporarily to stabilize the drugs.
In general, you can go to the ground after surgery, and do not require bed rest. Temporary pacemakers require the left lateral position because the electrode lead is floating in the heart chamber, because the right lateral position may cause the electrode lead to escape due to gravity, and the perceptual and/or pacing function may occur; and the permanent pacemaker The tip of the electrode lead is fixed to the myocardium, and the position does not cause any adverse effects. The postoperative diet also returns to normal immediately after surgery. No special diet is required, but it should be light and easily digestible.
Day Care Surgery has been carried out in developed countries in Europe and America. For example, US Vice President Cheney went home after sunrise after implanting a pacemaker. After a day off, he went to work and held a press conference at the White House Oval Office. .
Since the parameter setting of the pacemaker is a reed switch, the magnet should be prevented from approaching the pacemaker, such as a radio, magnetized cup, and the like. Do not put the phone in the chest pocket on the side of the buried pacemaker. When you call, try to use the contralateral hand and ear to listen. The phone is at least 15 cm away from the pacemaker.
After implanting the pacemaker, most physiotherapy equipment items should also be avoided. If you must use an electric knife or electrocoagulation, please use the bipolar method and program the pacemaker to bipolar sensing, VOO or DOO mode, strengthen the heart. Electrical monitoring, and adjust back to the original pacing mode as soon as possible after surgery.
What problems should I pay attention to after leaving the hospital?
After implanting the pacemaker for a period of time, usually in a month or so to review the clinic, the doctor will give you a card, equivalent to the pacemaker's ID card, should be properly stored, it is best to copy a backup to prevent loss. The card will register the model of your implanted pacemaker, the age of the pacemaker, the name of the hospital where the pacemaker is implanted, and the name of the doctor. No matter where you go to that city, as long as you carry this card, the pacemaker follow-up doctors at each hospital will understand the type and main information of the pacemaker you have installed, and you can learn about your pacemaker by telemetry. You should carry this card when you are flying, because the pacemaker in your body will alarm when passing through the security door. Therefore, presenting this card during security check can prevent the security personnel from using the probe to approach your pacemaker, reducing unnecessary trouble.
The pacemaker is a highly sophisticated instrument with more than 5,000 components per square centimeter of circuit. Although it has been rigorously tested before leaving the factory, it is still necessary to check regularly whether it is functioning properly and whether it works in accordance with your personality. Chemotherapy needs. This is a very important job, and you must ignore it.
When the pacemaker is implanted, the doctor will set the programmed parameters according to your situation. Your personal condition and condition may change over time, so you need to go to the clinic regularly to adjust your pacemaker to suit your individual needs.
Follow-up included physical examination, electrocardiogram, and external programmed pacemaker parameters. Dynamic electrocardiogram, echocardiography and chest X-ray examinations are also required when necessary.
It is generally recommended to follow up in the first month after discharge and follow up every 2-3 months from the second month to the half year. After half a year, the first half of the life expectancy of the pacemaker can be followed every six months to one year. It will be shortened to once every 2-3 months, or even once a month. It should be promptly replaced in hospital when the battery is nearly exhausted. Problems found during follow-up should be shortened during the follow-up period.
Source: Sohu Health
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